﻿
<!DOCTYPE html>
<#assign base=request.contextPath />
 <html>
	<head>
		<meta charset="UTF-8">
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1, user-scalable=no">
		<title></title>
		<link rel="stylesheet" href="${base}/css/bootstrap.min.css" />
		<link rel="stylesheet" href="${base}/css/common.css" />
	</head>
	<body>
		<div class="container-fluid">
			<fieldset disabled>
				<div class="form-group mar_top">
					<label class="login_reg_label">姓名：</label>
					<input type="text" placeholder="${role.name}" class="form-control login_reg_input" id="disabledInput" />
				</div>
				<div class="form-group">
					<label class="login_reg_label">性别：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.sex}" />
				</div>
				<div class="form-group">
					<label class="login_reg_label">年龄：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.age}" />
				</div>
				<div class="form-group">
					<label class="login_reg_label">手机号码：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.phone}" />
				</div>
				<div class="form-group">
					<label class="login_reg_label">微信号：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.weichat}" />
				</div>
				<div class="form-group">
					<label class="login_reg_label">家属号码：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.fphone}" />
				</div>
                <div class="form-group">
					<label class="login_reg_label">教育程度：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.edu}" />
				</div>
                <div class="form-group">
					<label class="login_reg_label">经济情况：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.economy}" />
				</div>
                <div class="form-group">
					<label class="login_reg_label">医学背景：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.medicbg}" />
				</div>
				<div class="form-group">
					<label class="login_reg_label">诊断结果：</label>
					<input id="disabledInput" type="text" class="form-control login_reg_input" placeholder="${role.diagnosis}" />
				</div>
			</fieldset>
			
		</div>

	</body>
</html>
